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Updated: Jan 23, 2026

Author Spotlight: Integrating Tai Chi with Mindfulness Training to Achieve an Effective Mind-Body Exercise
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Tai Chi modulating multimodal connectivity patterns and cognitive function in cerebral small vessel disease.

Xiaoyong Zhong1, Zhongpeng Dai2, Liuxi Chu3

  • 1Department of Neurology and National Clinical Research Base of Traditional Chinese Medicine, The Affiliated People' s Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, 350004, Fujian, China.

Geroscience
|January 21, 2026
PubMed
Summary

Tai Chi exercise significantly improved cognitive function in patients with cerebral small vessel disease (CSVD). This mind-body intervention enhanced brain connectivity and structural-functional coupling, offering a potential therapeutic approach.

Keywords:
Cerebral small vessel disease (CSVD)Mild cognitive impairment (MCI)Plasma homocysteineStructural–functional couplingTai Chi

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Area of Science:

  • Neuroscience
  • Neurology
  • Rehabilitation Medicine

Background:

  • Cerebral small vessel disease (CSVD) is a major cause of cognitive decline and cerebrovascular events.
  • Mind-body interventions like Tai Chi show promise for cognitive enhancement and neural plasticity.
  • Neurobiological mechanisms linking Tai Chi to cognitive benefits in CSVD patients are not well understood.

Purpose of the Study:

  • To investigate the neurobiological mechanisms underlying cognitive improvement in CSVD patients undergoing Tai Chi.
  • To examine the effects of Tai Chi on cognitive function, plasma homocysteine, and brain structural and functional connectivity (SC and FC).

Main Methods:

  • A 24-week randomized controlled trial involving 51 CSVD patients assigned to Tai Chi or health education.
  • Neuropsychological assessments, plasma homocysteine measurements, and brain SC/FC analyses were performed.
  • Network-based statistics, correlational, and mediation analyses were utilized.

Main Results:

  • The Tai Chi group showed significant cognitive function improvement.
  • Increased functional connectivity (FC) in frontal-parietal-occipital regions was observed.
  • Enhanced structural-functional coupling in the frontal network partially mediated homocysteine reduction and cognitive gains.

Conclusions:

  • Tai Chi exercise positively impacts cognitive function in CSVD patients.
  • The intervention enhances brain network connectivity and structural-functional coupling.
  • Frontal network structural-functional coupling may mediate the therapeutic effects of Tai Chi in CSVD.